Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 203045 | LA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD203045 | LA |
N | 207RC0000X | Internist - Cardiovascular Disease | P4544 | TX |
NPI | 1891985081 |
---|---|
Provider Name | Dr. Siby George Ayalloore |
First Address | Opelousas, LA 70570-6405 |
Second Address | Opelousas, LA 70570 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 05/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01035899 | (05) | MS |
1077160 | (05) | LA |